Cite this post as:
Scott Weingart, MD FCCM. Ondanestron for Awake Intubation. EMCrit Blog. Published on February 4, 2013. Accessed on January 28th 2022. Available at [https://emcrit.org/emcrit/ondanestron-for-awake-intubation/ ].
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Unless otherwise noted at the top of the post, the speaker(s) and related parties have no relevant financial disclosures.
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IV Granisteron has also been looked at (successfully, though small groups but blinded and placebo control)
I used to use it for this reason (when it was still in our cupboards) for ENT lists; have since switched to Ondansetron
Never occured to me to use it in AFO intubation as well though; good tip!
-John
I routinely use it for any procedural sedation
OK, interesting information. I just administered Ondansetron 4 mg IVP to my patient I am sedating just now. Some 15 years ago, I was privy to an unusual side effect of Ondansetron in a patient I cared for that underwent anterior cervical discectomy and fusion. He was a tall, thin gentleman in his early 40’s with a history of herniated cervical discs. Surgical procedure, airway management and anesthetic was unremarkable, and I was making a brief visit to the patient the afternoon of postop day 1 when the story gets interesting. The patient was recovering well, and had just returned… Read more »
Crazy stuff, ours come in little bags that have to drip in. Good to know.
I never, ever, ever just walk up to an IV and jam the medication in unless it is clearly indicated, i.e. adenosine challenge or RSI procedure. I teach and stress the need to dilute and administer slowly most medications as we give it. Working in the ED, I hang a bag of NS after I start most of my IV’s to ensure the pain and nasea medications are given with a little dilution to avoid deleterious effects. Thoughts.
Can I get an Amen? Amen!
Amen!
Sounds good to me. You never want full drug in 1st pass except for the situations you mentioned.